罗马尼亚按需剖宫产框架的制定。
Development of a Framework for On-Demand Caesarean Section in Romania.
机构信息
Department of Functional Sciences, Medical Informatics and Biostatistics Discipline, "Victor Babes" University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.
Doctoral School, Faculty of Economics and Business Administration, West University of Timisoara, 16 J. H. Pestalozzi Street, 300115 Timisoara, Romania.
出版信息
Int J Environ Res Public Health. 2023 Feb 2;20(3):2705. doi: 10.3390/ijerph20032705.
BACKGROUND
Caesarean section rates have continued to trend upward in most countries, including Romania, creating a number of economic challenges. In the public health system, there is no regulation for performing Caesarean sections on demand; it is often done unlawfully, and in private hospitals, it is a real business. Thus, this study aims to investigate the budgetary impact at a hospital level and the profit per procedure by introducing on-demand caesarean sections for a fee.
METHODS
This study was conducted in one of the largest maternity units in Western Romania-the "Bega" Maternity Clinic of the Timisoara County Emergency Hospital. For the analysis, the difference between a proposed occupancy rate (between 50 and 85%, increasing every 5 percent) and the actual occupancy rate was calculated. Considering that this difference can be used to admit patients to receive Caesarean sections on demand for a fee, the profit that could be obtained during the study period was calculated.
RESULTS
It is reported that between 238 (proposed occupancy rate of 50%) and 4683 patients (a proposed occupancy rate of 85%) could have benefited from on-demand caesarean section surgery in 2017-2019. Between RON 419,999 and RON 8,551,636 could be obtained in the 3 years of study by implementing caesarean section against payment.
CONCLUSION
The implementation of a system of on-demand payment for caesarean sections in Romania would bring significant profits to the hospital budget.
背景
在包括罗马尼亚在内的大多数国家，剖宫产率持续上升，这带来了许多经济挑战。在公共卫生系统中，没有关于按需剖宫产的规定；这种手术经常是非法进行的，而在私立医院，它则是一项真正的业务。因此，本研究旨在调查引入按需剖宫产收费对医院层面预算的影响和每例手术的利润。
方法
本研究在罗马尼亚西部最大的妇产医院之一——蒂米什瓦拉县急症医院的“贝加”妇产科诊所进行。为了进行分析，计算了建议入住率（50%至 85%之间，每 5%递增）与实际入住率之间的差异。考虑到这种差异可用于接纳患者接受按需剖宫产收费，计算了研究期间可能获得的利润。
结果
报告称，2017 年至 2019 年期间，238 名（建议入住率为 50%）至 4683 名（建议入住率为 85%）患者可能从按需剖宫产手术中受益。通过实施剖宫产收费，在 3 年的研究中可以获得 419999 罗马尼亚列伊至 8551636 罗马尼亚列伊的收入。
结论
在罗马尼亚实施按需剖宫产付费制度将为医院预算带来显著收益。
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